| NPI | 1457350993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE DEAR Officer/Authorized Official 210-681-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L04506) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2021-05-10 |